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Atopy in children and parental social class
J Heinrich1, M A Popescu, M Wjst
1GSF Research Center for Environment and Health, Institute of Epidemiology, Neuherberg, Oberschleissheim, Germany.
American Journal of Public Health
|September 16, 1998
Summary
Children from higher social classes in former East Germany showed higher rates of atopic disorders and allergic sensitization. This suggests social inequalities and modern lifestyles may contribute to rising allergy prevalence.
Area of Science:
- Pediatric allergy and immunology
- Social epidemiology
- Public health in post-socialist transitions
Background:
- Atopic disorders represent a significant global health burden.
- Understanding the influence of socioeconomic factors on atopic disease is crucial for public health interventions.
- Previous research has indicated a link between socioeconomic status and atopic conditions, but data from post-socialist countries are less common.
Purpose of the Study:
- To investigate the relationship between social class and the prevalence of atopic disorders in a pediatric population in former East Germany.
- To explore whether social inequalities, potentially exacerbated by the transition from socialism, correlate with health outcomes like atopic diseases.
Main Methods:
- A cross-sectional study involving 2471 schoolchildren in former East Germany.
- Data collection included standardized parental questionnaires on health and lifestyle, skin-prick tests, and measurement of total serum immunoglobulin E (IgE).
Main Results:
- Lifetime prevalence of atopic disease and allergic sensitization were highest in social class III (parents with >10 years education) and lowest in social class I (parents with <10 years education).
- Social class II (10 years parental education) showed intermediate rates.
- A clear social gradient in atopic disease prevalence was observed.
Conclusions:
- Social inequalities persisted in former socialist countries, impacting health outcomes like atopic disorders.
- The findings support the hypothesis that increased exposure to modern lifestyle factors may contribute to the rising incidence of atopic disorders over recent decades.